Organization Active NPI

Comprehensive Wellness and Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houma, LA
National Provider Identifier
1952008773
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
COMPREHENSIVE WELLNESS AND MENTAL HEALTH LLC
Practice address
2043 Coteau Rd Ste 104
Houma, LA 70364-2165
Phone
(985) 323-6420
Fax
(985) 202-4028
NPI assigned
Feb 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lori Williams Gardiner, DNP APRN FNP PMHNPNPI 1205076403
Title
Ceo
Phone
(985) 381-3494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2043 Coteau Rd Ste 104
Houma, LA 70364-2165

Mailing address

2043 Coteau Rd Ste 104
Houma, LA 70364-2165
Phone (985) 323-6420

Other identifiers 2

IdentifierTypeStateIssuer
1422541MedicaidLA
1205076403OtherLANPI

National Provider Directory

National Provider Directory

Locations

2043 Coteau Rd
Ste 104
Houma, LA 70364
Phone (985) 323-6420

761 W Tunnel Blvd
Ste A
Houma, LA 70360
Phone (985) 876-5430

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1952008773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 COTEAU RD STE 104",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703642165",
            "telephone_number": "985-323-6420",
            "fax_number": "985-202-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 COTEAU RD STE 104",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703642165",
            "telephone_number": "985-323-6420",
            "fax_number": "985-202-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE WELLNESS AND MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-381-3494",
        "authorized_official_credential": "DNP APRN FNP PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1422541",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205076403",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.